Rheumatology International

, Volume 25, Issue 3, pp 191–194 | Cite as

Biaxial total wrist arthroplasty in rheumatoid arthritis. Satisfactory functional results

  • M. Stegeman
  • W. J. RijnbergEmail author
  • C. J. M. van Loon
Original Article


We reviewed 16 uncemented biaxial total wrist arthroplasties (TWA) in 14 patients with rheumatoid or juvenile arthritis. The mean follow-up was 25 months (range 5–60). According to the Hospital for Special Surgery scoring system (HSS), good-to-excellent results were accomplished in 69%, moderate in 19%, and poor in 12%. The mean pain score was 0.4 on a visual analog scale from 0–10 (0=no pain). The Wrightington activities of daily life assessment chart showed a 63% improvement, and we found a threefold increase in range of motion at follow-up. Four TWAs showed early dislocation, one of which was revised. Biaxial TWA yields good short-term results in rheumatoid patients, although instability is a frequent complication.


Biaxial total wrist arthroplasty Functional results Rheumatoid arthritis Total wrist arthroplasty Uncemented 


  1. 1.
    Linscheid RL, Beckenbaugh RD (1976) Total arthroplasty of the wrist to relieve pain and increase motion. Geriatrics 4:48–52Google Scholar
  2. 2.
    Beckenbaugh RD (1977) Current status of total joint replacement in the upper extremity. J Am Geriatrics Soc 15:68–75Google Scholar
  3. 3.
    Beer TA, Turner RH (1997) Wrist arthrodesis for failed wrist implant arthroplasty. J Hand Surg [Am] 22:685–693Google Scholar
  4. 4.
    Volz RG (1977) Total wrist arthroplasty. Clin Orth Rel Res 128:180–189Google Scholar
  5. 5.
    Mueli HC, Fernandez DL (1995) Uncemented total wrist arthroplasty. J Hand Surg [Am] 20:115–122Google Scholar
  6. 6.
    Volz RG (1984) Total wrist arthroplasty. Clin Orth Rel Res 187:112–120Google Scholar
  7. 7.
    Meuli HC (1997) Total wrist arthroplasty. Clin Orth Rel Res 342:77–83Google Scholar
  8. 8.
    Palmer AK, Werner FW, Murphy D, Glisson R (1985) Functional wrist motion: a biomechanical study. J Hand Surg [Am] 10:39–46Google Scholar
  9. 9.
    Cobb TK, Beckenbaugh RD (1996) Biaxial total wrist arthroplasty. J Hand Surg [Am] 21:1011–1021Google Scholar
  10. 10.
    Lirette R, Kinnard P (1995) Biaxial total wrist arthroplasty in rheumatoid arthritis. Can J Surg 38:51–53PubMedGoogle Scholar
  11. 11.
    Rossello MI, Costa M, Pizzorno V (1997) Experience of total wrist arthroplasty with Silastic implants plus grommets. Clin Orth Rel Res 342:64–70Google Scholar
  12. 12.
    RJ Smith, Atkinson RE, Jupiter JB (1984) Silicone synovitis of the wrist. J Hand Surg [Am] 10:47–60Google Scholar
  13. 13.
    Ferlic DC, Clayton ML (1995) Results of CVF total wrist arthroplasty: review and early report. Orthopaedics 18:1167–1177Google Scholar
  14. 14.
    Figgie MP, Ranawat CS, Ingles AE, Sobel M, Figgie HE III (1990) Trispherical total wrist arthroplasty in rheumatoid arthritis. J Hand Surg [Am] 15:217–223Google Scholar
  15. 15.
    Figgie HE III, Ranawat CS, Ingles AE, Straub LR, Mow C (1998) Preliminary results of total wrist arthroplasty in rheumatoid arthritis using trispherical total wrist arthroplasty. J Arthroplasty 3:9–15Google Scholar
  16. 16.
    Fourastier J, Le Breton L, Alnot Y, Langlais F, Condamine JL, Pidhorz L (1996) Guépar total radiocarpal prosthesis in surgery of the rheumatic wrist. Study of 72 cases [French]. Rev Chir Orthop Reparatrice Ap Mot 82:108–115Google Scholar
  17. 17.
    Courtman NH, Sochart DH, Trail IA, Stanley JK (1999) Biaxial wrist replacement. J Hand Surg [Br] 24:32–34Google Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • M. Stegeman
    • 1
  • W. J. Rijnberg
    • 1
    Email author
  • C. J. M. van Loon
    • 1
  1. 1.Ziekenhuis RijnstateArnhemThe Netherlands

Personalised recommendations